The importance of food in Bariatric Patients Undergoing Body Contouring After Weight Loss

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The rehabilitation of obesity with bariatric surgical operation is a commonly done and extremely efficient policy for generating large amounts of weight loss. (> 100 pounds) This has led to a large citizen of such weight loss patients seeking body contouring surgical operation to deal with their hanging skin issues. Many of the body contouring surgical operation options (e.g., circumferential body lift, breast lifts, arm lifts, thigh lifts) involve large amounts of skin removal with resultant long incisions and a lot of wound exterior area to heal.

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Such wound healing needs want a patient to have good nourishment to supply all the significant nutrients to make new tissue and mend the wound edges. Unfortunately, many bariatric patients have chronic nutritional deficiencies secondary to their gastric bypass policy with altered absorptive capabilities. Such poorly nourished patients can be hard to detect prior to surgical operation unless they are part of an ongoing program of supervision from their former bariatric town or family physician. Body contouring surgical operation has a significant incidence of wound problems together with minor to more significant wound separations, seromas (fluid collections), and incisional problems secondary to suture reactions. These problems are authentically magnified and more severe when the patient's nutritional status is not ideal.

Because of the nutritional issues while the duration of weight loss, bariatric patients should not reconsider body contouring surgical operation for at least 12 to 18 months after their gastric bypass procedure. Even when maximal weight loss is achieved, many bariatric patients will have nutritional issues. Most prevalent among them are protein-calorie, vitamin (A, B, C and folate), and mineral (iron and zinc) deficiencies. Ideal daily requirements for good healing after body contouring surgical operation comprise protein (70 - 75 grams), vitamin A (25,000 units), vitamin B12 (500 ug), folate (400ug), vitamin C (2 grams), iron (100mg), and zinc. (20mg) A fantastic narrative on the nutritional needs of the postbariatric patient undergoing body contouring surgical operation is available in the December 2008 issue of the Journal of Plastic and Reconstructive surgical operation by Drs. Agha-Mohammadi and Hurwitz.

To accomplish this level of supplentation, multivitamins and protein drinks and bars may be enough in some cases. For many patients, however, this oral arrival may not be sufficient. Fot this reason, there are available formulated supplements unique to the needs of the bariatric patient together with ProMend (Bariatric Advantage, Irvine, Ca) and ProCare Surgical recipe (NutrEssential, Wilmington, Ca) These formulas bring to the table the significant vitamins as well as protein, free amino acids, arginine, and glutamine which are significant building blocks for new tissue formation. ProCare is beloved as it comes in a powder form which is better absorbed in the gastric bypass patient as opposed to pills.

The postbariatric patient is a unique surgical patient because of the magnitude of the procedures and their often compromised nutritional situation. Oral vitamin and protein supplementation should be started one month before most body contouring surgeries and continue for one month after. While this will not eliminate all wound complications, it will decrease the whole that occur and the distance of time that any wound complications will take to heal.

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